HomeMy WebLinkAboutSump Pump Inspection
City of Prior Lake
Sump Pump and III Reduction
Inspection Form
d f:) J2 Y Date:0 --30 - 99TimetJ30 a.m./p.m.
First Inspe~n ~nd 0 _
Own: ~ent: 0 ~e of Home: .6 vI;, S
Residential: c---- J
Non-Residential: 0
Name: MILES,
Address: /5111 '0K'ILI Al6' HV
Prior Lake, MN 5537,z Phontl17-9b36
/((/4Je/0 ~ .
A. BASEMENT ~LJ~
WATER IN BASKET aJ.1"es LJ No
WAIJ!,K IN BASEMENT (flow over floor)
SUMP BASKET LJ 0 ~. LJ 3 LJ
SUMP P~ LJ 0 I9'l LJ 2 LJ 3 .LJ
LJ Yes !:!'No CISTERN LJ Y es ~
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point
at Inspection:
LJ Laundry tub
LJ Floor drain
LJ Sanitary sewer
LJ Other
~
B.
C.
Prior to Inspection: . ij' 9a
When was system installed, or most rec~odified? (Date) /0 - ./
LJ Home came with system ~nse to inspection program LJ Other
LJ Water in basement LJ Pr~s system failed
ROOF LEADERS: ~ LJ N~ DISCHARGE: LJ Near ~
YARD DRAINS 0 Yes ~:rj.lY'/ WINDOW WELLS 0 Yes ~
BEAVER SYSTEM LJ Yes &"No
PROPERTIES WITH SUMP PUMPS /~
When does pump run? LJ Fall ~er~ri!18 LJ Wintpl; j
(check all that apply) How often does pump run? 'FTG/GNe.A.J L{ Kj:J/v
Where does pump discharge to outside? LJ Front LJ Back ~e
and why
D.
-----------.-.-------.---------------.-------.-------------.-------------.-----.---------.---.-.-----------------.---.-----.-.-----
NOTES:
~
SUMP PUMP SYSTEM: ~S 0 FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection. call 651/644-1469 for an ~ent.
Is there another place where clear water enters the sanitary sewer system? 0 Yes ct'1ifo
Where is this 10cation?/'2 _ ..,
This area will need to~~ s6 the =?ate~isChargeS to the storm sewer system. ,
Inspecto~J .( ~~;;;-=- ,Date: .::3-30-7?-
Resident: ") !Ju1JLVV-tjAAlJ-'" Date: 3 - 30 - Y J
Disclaimer: This visual inspection is done with due diligence to f'md obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner
Yellow: City
Pink: HRG